Development of a primary cutaneous CD30(+) anaplastic large-cell T-cell lymphoma during treatment of multiple sclerosis with fingolimod

Mult Scler. 2016 Dec;22(14):1888-1890. doi: 10.1177/1352458516645868. Epub 2016 Apr 26.

Abstract

Background: The appearance of solid tumors und lymphomas during treatment with fingolimod was observed in studies and has been described in case reports.

Objective: To report a case of primary cutaneous CD30(+) anaplastic large-cell T-cell lymphoma during treatment of multiple sclerosis (MS) with fingolimod.

Methods: Case study.

Results: Our patient developed a lymphoma a few weeks after initialization of therapy with fingolimod; 5 weeks after discontinuation of treatment the lesions resolved.

Conclusion: Causality of fingolimod is indicated by the fact that the skin lesions appeared after commencement of treatment and resolved after discontinuation of therapy. This case serves as a reminder of the potential side effects of fingolimod.

Keywords: Fingolimod; adverse side effects; lymphoma; multiple sclerosis; primary cutaneous CD30(+) anaplastic large-cell T-cell lymphoma; skin.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Fingolimod Hydrochloride / adverse effects*
  • Humans
  • Immunosuppressive Agents / adverse effects*
  • Ki-1 Antigen*
  • Lymphoma, Large-Cell, Anaplastic / chemically induced*
  • Middle Aged
  • Multiple Sclerosis / drug therapy*
  • Skin Neoplasms / chemically induced*

Substances

  • Immunosuppressive Agents
  • Ki-1 Antigen
  • Fingolimod Hydrochloride